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For instance, a 2019 study in the American Journal of Medicine, including a nationwide survey of almost 450,000 people, found no substantial link between vaping and heart disease.[24] However, based on the same survey, research published by the American Heart Association stated that e-cigarettes were associated with higher risk of heart disease, heart attack, stroke and angina.[25] There is currently not enough evidence that proves vaping causes heart disease

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The authors reported that all three groups had smoke-related toxic chemicals in their blood and urine, but that levels of these toxins were significantly lower in the marijuana-only participants

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A possible effect of this targeted advertising is the development of a e-cigarette users aesthetic. Similar to the classic view of a classy, dignified user of cigarettes in 1950s ads, vape users might be seen as trendy or popular